Transposition of the great vessels overview: Difference between revisions
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*Most patients have an interatrial communication. Two-thirds have a [[patent ductus arteriosus]], and about one-third have a [[ventricular septal defect]]. | *Most patients have an interatrial communication. Two-thirds have a [[patent ductus arteriosus]], and about one-third have a [[ventricular septal defect]]. | ||
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==Overview== | |||
==Historical Perspective== | |||
==Classification== | |||
==Pathophysiology== | |||
==Causes== | |||
== Differentiating Xyz from Other Diseases== | |||
== Epidemiology and Demographics== | |||
==Risk Factors== | |||
==Screening== | |||
==Natural History, Complications, and Prognosis== | |||
==Diagnosis== | |||
===Diagnostic Study of Choice=== | |||
===History and Symptoms=== | |||
===Physical Examination=== | |||
===Laboratory Findings === | |||
===Electrocardiogram=== | |||
===X-ray=== | |||
===Echocardiography and Ultrasound=== | |||
===CT scan=== | |||
===MRI=== | |||
===Other Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | |||
===Medical Therapy=== | |||
===Interventions=== | |||
===Surgery === | |||
===Primary Prevention=== | |||
===Secondary Prevention=== | |||
==References== | |||
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Revision as of 17:17, 19 February 2020
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Transposition of the great vessels Microchapters |
Classification |
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Differentiating Transposition of the great vessels from other Diseases |
Diagnosis |
Treatment |
Surgery |
Case Studies |
Transposition of the great vessels overview On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]
Overview
It refers to a group of congenital heart defects involving an abnormal spatial arrangement of any of the primary blood vessel:superior vena cava and/or inferior vena cava, pulmonary artery, pulmonary veins, and aorta.
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Transposition of the great vessels (TGV)
- It refers to a group of congenital heart defects involving an abnormal spatial arrangement of any of the primary blood vessel:superior vena cava and/or inferior vena cava,pulmonary artery, pulmonary veins, and aorta.
- The clinical signs and symptoms associated with TGV may range from a change in blood pressure to an interruption in circulation, depending on the nature and degree of the misplacement and which vessels are involved.
- The term "TGV" is often used as a more specific reference to transposition of the great arteries TGA; however, TGA only relates to the aorta and the pulmonary artery, whereas TGV is a broader term which can relate to these vessels as well as the SVC, IVC, and pulmonary veins.
- In its strictest sense, transposition of vessels relates only to defects in which two or more vessels have "swapped" positions; in a broader sense, it may be taken to relate to any defect in which a vessel is in an abnormal position.
- The terms TGV and TGA are most commonly used in reference to dextro-TGA- in which the arteries are in swapped positions.
- Both terms are also commonly used, though to a slightly lesser extent, in reference to Levo-Transposition of the great arteries- in which both the arteries and the ventricles are swapped; while other defects in this category are almost never referred to by either of these terms.
- CHDs involving only the primary arteries (pulmonary artery and aorta) belong to a sub-group called transposition of the great arteries.
- Most patients have an interatrial communication. Two-thirds have a patent ductus arteriosus, and about one-third have a ventricular septal defect.